Dr. N on Facebook


Subcutaneous Hormone Implants:
Relief for Persistant Menopausal Symptoms and Sexual Dysfunction

HRT Therapy
Part 1: Hormone Replacement Therapy, Panacia or Poison?
Part 2: Hormone Replacemnet Therapy Is a Personal Choice
Part 3: What Is Optimum Hormone Replacement?

How To Find A HRT Program That Works For You...
Part 1: Finding An Ideal Regimen
Part 2: Unpleasant Side Effects
Part 3: Progesterone, Progestins & Progesterone Cream

Sex and Menopause

Sex & Libido With HRT

Menopause Overview

Menopausal Symptoms

Sex and Menopause

Menopause & Weight Gain

Menopause & Migraine

Menopause & Hair Loss

Hysterectomy Overview

Ovarian Failure Following Hysterectomy

I Want To Know If I Should I Keep My Ovaries

HRT & Hormones:
About HRT

Methods Of HRT

HRT Regimens

Sex & Libido With HRT

Breast Cancer & HRT

Hormone Deficiency

Ask Dr N:
Questions & Answers

About Dr N

Contact Us

Blood Clots Following Hysterectomy And HRT

Dr N:

Two weeks ago I had a hysterectomy with ovaries removed. It was an emergency surgery for abnormal bleeding. I am 48 years old. Due to some blood clots in my legs I can not take HRT for at least 6 months. I am looking for some reliable books to read about my situation. Which books would you recommend, and what do you think about alternative HRT? In mean time, I am searching for the best solution for me concerning estrogen replacement.

I would like to get your opinion on it, for there a lot of herbal and dietary supplements for estrogen. I also would like to get your opinion on weather should I go to doctor's prescribed estrogen after 6 months, or should I stay on "natural" ones, that are obtained in health food stores or through internet adds.

I have no other health problems.
Dr. N thank you so much.



This is a problem, that puts you in a difficult situation.

As, you have had your ovaries removed, there has been a dramatic fall in your sex hormone levels. The long-term negative affects in terms of quality of life and longevity are well recognized.

One of the risk factors for blood clot formation is having an abdominal or pelvic surgery, so this may explain the reason for your clot formation as opposed to something in your system making you more susceptible to this problem. On the other hand, having previously developed a clot in the veins of your legs might make them more susceptible to further similar episodes. In addition, there are some inherited disorders of blood coagulation that may cause irregular vaginal bleeding and still increase the incidence of clot formation.

What to do?

It might be reasonable to consult with a hematologist to see if you have any type of coagulation disorder. However, although this is possible, you probably do not. However, I would still consider looking in to it.

As far as HRT for you, look at it this way. The degree of hormone deficiency that you are now exposed to will almost certainly have a negative impact on your quality of life and your health. In view of this HRT seems reasonable for you, as you may not have any further problems with clot formation. I would choose one of the non oral forms of replacement, such as a patch, as this method is likely to have less potential for altering the clotting mechanism. You need to discuss this thoroughly with your physician.

The over-the-counter herbal products and dietary estrogen preparations do not offer any significant reduction in menopausal symptoms or provide protection from the long-term negative affects of hormone deprivation.

If you go to the books link on the web site you will find a number of books on HRT. I would suggest the books by Dr Notelovitz, Dr Nachitall and Dr Romoff.

Let me know what and how you do.

Dr N



Appointments with Dr. Nosanchuk can be made by contacting Caroline
(248) 644-7200 from 10:00am to 6:00pm Monday - Friday (EST).


IMPORTANT: This web site is for educational purposes only. It is not intended to suggest a specific therapy for any individual and must not be construed to establish a physician/patient relationship.

Site Contents ©2014 All Rights Reserved